Faculty Collaboration Database

Thin-slice T2 MRI imaging predicts vascular pathology in hemifacial spasm: a case-control study. Mov Disord 2014 Sep;29(10):1299-303

Date

07/22/2014

Pubmed ID

25044001

DOI

10.1002/mds.25947

Scopus ID

2-s2.0-84908483916 (requires institutional sign-in at Scopus site)   22 Citations

Abstract

Hemifacial spasm (HFS) is a condition that may severely reduce patients' quality of life. We sought to determine the sensitivity and specificity of thin-slice T2 magnetic resonance imaging (MRI) for detecting vascular compression in HFS patients. Prospective information was collected on 28 patients with HFS who presented to our center between March 2011 and March 2012 with thin-slice T2 MR imaging. The sensitivity and specificity for differentiating patients from controls were calculated. Sensitivities were 78.6% and 92.9% for the blinded radiologists and 75% for the partially blinded neurosurgeon. Specificities were 42.9% and 28.6% for the blinded radiologists and 75% for the partially blinded neurosurgeon. Magnetic resonance imaging of the facial nerve can guide clinicians in selecting patients who are good surgical candidates. Thin-slice T2 MRI should be viewed as supportive rather than diagnostic.

Author List

Sekula RF Jr, Frederickson AM, Branstetter BF 4th, Oskin JE, Stevens DR, Zwagerman NT, Grandhi R, Hughes MA

Author

Nathan Zwagerman MD Associate Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Case-Control Studies
Cerebrovascular Disorders
Facial Nerve
Female
Hemifacial Spasm
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Male
Microvascular Decompression Surgery
Microvessels
Middle Aged
Sensitivity and Specificity